2023 Form 5500 filing — Wyoming Chambers Welfare Benefit Association
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20250415153243NAL0001523603001) for Wyoming Chambers Welfare Benefit Association, reported by Wyoming Chambers Welfare Benefit Assocation under EIN 20-8856052 and plan number 501. It reports 389 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250415153243NAL0001523603001
- Filing year
- 2023
- Form type
- 3
- Plan sponsor
- Wyoming Chambers Welfare Benefit Assocation
- EIN
- 20-8856052
- Plan number
- 501
- Location
- Gillette, WY
- Participants
- 389
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $2,082,102
- Total liabilities (EOY)
- $809,430
- Net assets (EOY)
- $1,272,672
- Employer contributions
- $5,965,587
- Participant contributions
- $25,268
- Total income / additions
- $6,044,976
- Benefits paid
- $5,650,471
- Administrative expenses
- $508,641
- Total expenses
- $6,159,112
- Net increase / (decrease)
- -$114,136
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Hub International Mountain States L | CONTRACT ADMINISTRATOR | $265,022 | $0 |
| Allegiant Benefit Plan Management | CONTRACT ADMINISTRATOR | $141,425 | not reported in the loaded dataset |
| Wyoming Health Fairs | NONE | $86,968 | not reported in the loaded dataset |
| Connecticut General Life | PPO ACCESS FEE | $34,038 | not reported in the loaded dataset |
| Leo Riley And Company | AUDITOR | $18,500 | not reported in the loaded dataset |
| Wy Chambers Of Commerce Assoc | PLAN ADMINISTRATOR | $14,505 | not reported in the loaded dataset |